Renal Assesment (115 MCQs)

0%
0 votes, 0 avg
149

Renal quiz

1 / 115

Obstruction in cases of Acute pyelonephritis, leads to PYONEPHROSIS

2 / 115

Cortical adenoma measuring > 6 cm is considered

3 / 115

Chronic renal failure occur as a complication in all of the following (except):

4 / 115

Renal arterioles in malignant nephrosclerosis are showing:

5 / 115

Which of the following tumors has tendency of bilaterality

6 / 115

Cystine stones are

7 / 115

Marked proliferation of mesangial cells is seen in :

8 / 115

Acute tubular necrosis may lead to Chronic tubular necrosis in untreated cases

9 / 115

In chronic pyelonephritis , both kidneys are enlarged

10 / 115

The Major diagnostic features of Nephritic disease are:

11 / 115

Prescence of Abdomnial swelling in 6 years child, with evident renal mass :

12 / 115

The commonest cause of Acute pyelonephritis is TB bacilli

13 / 115

Focal segmental glomerulosclerosis is a type of:

14 / 115

Acute diffuse proliferative glomerulonephritis is caused by :

15 / 115

Stag-horn stone is formed of:

16 / 115

A 53-year-old man has passed darker urine for the past week. On physical examination there are no abnormal findings. A urinalysis shows pH 5.5, specific gravity 1.013, 2+ blood, no protein, and no glucose. A urine cytology is performed and there are atypical cells seen. A cystoscopy is performed, but no mucosal lesions are noted. He has a 60 pack year history of smoking cigarettes. Which of the following is the most likely diagnosis?

17 / 115

40 years male with progressive hypertension, He had worsening headache for the last 2 days. Cerebral angiography scan revealed Cerebral berry aneurysms at bifurcations of circle of Willis. Which of the following diseases should be ruled out ?

18 / 115

Bladder divertecula is one of the complication of urethral stones

19 / 115

Cortex and medulla can easily to be demarkated in chronic pyelonephritis

20 / 115

Prescence of polycythenia in patients with renal cell carcinoma is explained by:

21 / 115

Pyelonephritis is a suppurative inflammation

22 / 115

A 47 year old man has had hemoptysis and decrease urine out put over the past days. On physical examination his bood pressure was 180/100mmHg. Urine analysis revealed 1+ Proteinuria, 4+ hematuria. A renal biopsy was performed and revealed normocellularity of the glomerular tuft with marked proliferation of parietal epithelial cells and vascular malignant hypertensive changes. The immunofluorescence findings in this patient indude:

23 / 115

Struvite stone is formed of

24 / 115

A 56-year-old man complains of dull flank pain for the past month. On physical examination he has tenderness to percussion at the right costovertebral angle. Laboratory studies show microscopic hematuria but no proteinuria or glucosuria. A urine cytology shows no atypical cells. A CBC shows WBC count 7800/microliter, Hgb 21.1 g/dL, Hct 63.5%, MCV 94 fL, and platelet count 195,000/microliter. His serum urea nitrogen is 15 mg/dL and creatinine 1 mg/dL. Which of the following radiographic findings is most likely to be present in this man?

25 / 115

Renal biopsy revealed diffuse thickening of the glomerular basement membrane, together with mesangial matrix expansion due to deposition of homogenous pink material. This picture is consistent with :

26 / 115

Nodular glomerulosclerosis is induced by:

27 / 115

In malignant Nephrosclerosis , the size of kidney is:

28 / 115

Sudden Complete urethral obstruction leads to :

29 / 115

Most reliable finding for diagnosis of Hydronephrosis is which of the following ?

30 / 115

Acute Pyelonephritis is more common in males 

31 / 115

Podocyte effacement is the major player in :

32 / 115

Intramembranous deposition of C3 is commonly seen in :

33 / 115

Intramembranous compelement deposit, is best seen in :

34 / 115

Coplications of oxalate stones include :

35 / 115

Chronic fibrocaseous TB of kidney is showing Cavitations

36 / 115

Marked pelvicalyceal dilatation with parenchymal atrophy and fibrosis can complicate which of the following congenital renal lesions:

37 / 115

Psammoma bodies are seen in :

38 / 115

A 10 year-old boy has periorbital edema and swollen lower limbs. His BP is 140/90 mm Hg. A urinalysis reveals 5gm protein /24 hours and 2+blood, A renal biopsy is done and Light Microscopic examination reveals large lobulated hypercellular glomerular tufts thick splitted capillary walls. Which of the following is most likely diagnosis of this case?

39 / 115

Urinary calculi , with high PH are associated with :

40 / 115

All the following pathological changes are evident in Nephritic diseases EXCEPT:

41 / 115

A 3-year-old child does not want to eat much at meals The pediatrician notes an enlarged abdomen and can palpate a mass on the right. An abdominal CT scan revealed 10 cm sold mass involving the right kidney. The resected mass has the microscopic appearance of small blue cells with primitive structures. Which of the following neoplasm is most likely to account for these findings?

42 / 115

Hyrdonephrosis leads to renal cortical atrophy

43 / 115

Wire-loop glomerulosclerosis is seen in:

44 / 115

A 59-year-old man notes blood in his urine for the past week. On physical examination there are no abnormal findings. A urinalysis confirms the presence of blood, but no proteinuria or glucosuria. A urine culture is negative. A cystoscopy is performed, and a 3 cm exophytic mass is seen in the dome of the bladder. A biopsy of this mass is performed and microscopic examination reveals fibrovascular cores covered by a thick layer of transitional cells. Which of the following risk factors is most likely to have led to development of this lesion?

45 / 115

Linear Antibody deposits, with parietal cell proliferation, are seen in :

46 / 115

Morphological changes of Post-strep GN includes all the following changes EXCEPT:

47 / 115

Renal mass with central stellate scar is consistent with :

48 / 115

Linear Antibody deposits, with parietal cell proliferation, are seen in :

49 / 115

Which of the following lesions is pathognomonic for Membranoproliferative disease ?

50 / 115

Child, 6 yers old, is complaining of abdominal swelling and weight loss. X-ray revealed Right renal mass, which of the following findings is most likely to be found?

51 / 115

Idiopathic hypercalcurea is involved in pathogenesis of:

52 / 115

Female patient was complaining of flank pain. Radiological findings confirmed well defined renal mass measuring 7x5 cm. Excision revealed brown cut section with central stellate scar.

53 / 115

Acute Pyelonephritis is characterised clinically by Dysurea, pyuria and Loin pain

54 / 115

Clear cytoplasmic halo, is a charecteristic feature of:

55 / 115

A patien is complaining of progressive edema, proteinurea 5gm/day. and hyperlipidemia. EM of renal biopsy revealed thick spiky basement membrane with subepithelial deposits

 

56 / 115

Miliary TB of kidney is caused by ascending infection

57 / 115

The following microscopic changes are seen in Chronic GN:

58 / 115

The following disease usually ends by Acute renal failure:

59 / 115

Sub epithelial Granular deposits are evident by EM in which of the following diseases ?

60 / 115

Which of the following Tumors is Triphasic ?

61 / 115

Vesico-ureteric reflux is one of the causes of chronic pyelonephritis

62 / 115

A 10-year-old girl had a sore throat for about 10 days, Initial laboratory tests revealed an elevated BUN and creatinine. A microscopic urinalysis showed hematuria with dysmorphic RBC's. The light microscopic appearance of the renal biopsy showed hypercellularity, with PNL present, and there were sub epithelial electron densa "humps" seen by electron microscopy. What additional laboratory finding is most likely to be present in this setting:

63 / 115

In a patient with Fever, Pyurea , and dysurea, Urine analysis revealed WBCs, protein casts, and few RBCs. Renal function revealed elevated urea. Radiological picture showed enlargement of right kidney with clubbing of calyces>

64 / 115

Drug induced nephritis is charecterized by aggregates of neutrophils

65 / 115

The commonest cause of primary nephrotic syndrome in adults is characterized by which of the following electron microscopic features:

66 / 115

Renal cell carcinoma is charecterized by:

67 / 115

A 53-year-old woman has had chronic arthritis pain for the past 3 years. She has taken 2 gm of phenacetin and acetaminophen a day for her pain
over that time. She now has increasing fatigue. There are no abnormal findings on physical examination. Laboratory studies show her serum urea nitrogen is 52 mg/dL and creatinine 5.4 mg/dL. Which of the following pathologic findings is most likely to occur in her kidneys?

68 / 115

The commonest cause of renal calcium oxalate stones is:

69 / 115

Chronic bladder calculi may predispose to squamous cell carcinoma

70 / 115

In patients with renal colic, post operative stone examination revealed yellowish stones, with smooth surface and trnsulucent core.

71 / 115

The usual fate of Post-strep GN in children ?

72 / 115

The pathognomonic feature of Crescentric GN is :

73 / 115

Child with generalized edema,proteinurea >5 gm/day. No immune complex. Renal biopsy is most likely to reveal:

74 / 115

IgA nephropathy is commonly following :

75 / 115

Immune complex deposit in post streptococcal GN is :

76 / 115

Clear cell carcinoma of the kidney is associated with:

77 / 115

The most pathognomonic feature of Diabetic nephropathy :

78 / 115

Papillary carcinoma of the kidney is showing all of the following EXCEPT:

79 / 115

Proteinurea in a case of Nephrotic syndrome should be:

80 / 115

Focal segmental glomerulosclerosis is characterized by:

81 / 115

The commonest cause of chronic renal failure which is induced by papillary necrosis :

82 / 115

Thyroidization is a charecteristic feature of :

83 / 115

The initial stage of acute tubular necrosis shows Polyurea

84 / 115

All the following lab changes are seen in patients with chronic renal failure EXCEPT:

85 / 115

Stag horn stone is formed of

86 / 115

Cases of pyonephrosis started with :

87 / 115

The commonest cause of Pyelonephritis is

88 / 115

Which of the following microscopic types of RCC has more favorable prognosis?

89 / 115

Charecteristic microscopic finding of nephroblastoma is:

90 / 115

Features of oxalate stones include:

91 / 115

Hyaline arteriolosclerosis is the pathognomonic finding of:

92 / 115

The best prognosis among renal cell carcinoma is seen in:

93 / 115

Complications of urethral obsruction includes which of the following changes?

94 / 115

All the following predisposing factors are found to be involved in stone formation EXCEPT:

95 / 115

Linear deposits by IF are evident in which of the following Lesions?

96 / 115

In a female patient , with butterfly facial erythema, elevated ANA, Renal functions were elevated. Renal biopsy is most likely to show which of the following changes?

97 / 115

Glomerulonephritis characterized by proliferation of parietal epithelial cells in most of glomeruli is usually associated with which of the following
features:

98 / 115

The main player in pathogenesis of Diabetic nephropathy is :

99 / 115

A common cause of Nephrotic disease in children :

100 / 115

Hydronephrosis is a result of :

101 / 115

Renal amyloidosis leads to Nephritic syndrome

102 / 115

Glomeruli in Post streptococcal GN are:

103 / 115

Abortive tubules in renal mass is usually associated with :

104 / 115

Marked pelvicalyceal dilatation with parenchymal atrophy and fibrosis can complicate which of the following congenital renal lesions:

105 / 115

Nephrotic syndrome is not showing :

106 / 115

Urinary culture revealed cocci , which of the following salts are most likely to deposit forming stones?

107 / 115

In a patient of End stage renal disease, Laboratory findings to confirm Chronic renal failure :

108 / 115

In patients with diabetic nephropathy, which of the following complications may occur ?

109 / 115

Acute renal failure could be inducd by :

110 / 115

Tubular thyroidiszation is seen in ACUTE pyelonephritis

111 / 115

Creascentric GN is rapidly progressing into :

112 / 115

Focal segmental glomerulosclerosis is characterized by:

113 / 115

In a patient with progressive hypertension 150/100, Abdominal ultrasound revealed bilateral contracted kidneys. Gross picture of both kidneys is consistent with all of the following EXCEPT:

114 / 115

Causes of Chronic Pyelonephritis include all the following causes EXCEPT:

115 / 115

Crescentric GN is induced by which of the following mechanisms ?

Your score is

The average score is 77%

0%

error: Content is protected !!